PD293 - IS IT POSSIBLE TO PROVIDE HUMANE CARE TO PATIENTS WITH ANOREXIA NERVOSA UNDERGOING HOSPITAL TREATMENT?

PD293

IS IT POSSIBLE TO PROVIDE HUMANE CARE TO PATIENTS WITH ANOREXIA NERVOSA UNDERGOING HOSPITAL TREATMENT?

A. Ramalho Dos Santos¹, M. Bailer^2,*

¹Nutrition, Hospital da PUC-Campinas, Campinas, ²Nutrition, Hospital Samaritano Higienópolis, São Paulo, Brazil

Rationale: To describe the nutritional strategies adopted in a private hospital with adolescent patients diagnosed with anorexia nervosa in the process of care transition.

Methods: To construct the therapeutic plan and write the theoretical guidelines, discussions were held with the team at two levels: in-hospital with the institution's care team and in a hybrid manner with a specialized team responsible for monitoring after hospital discharge. Benchmarking with reference centers and scientific basis in the main databases were considered. 

Results: The established line of care includes 4 phases, based on effective communication without revealing objective data to the patient. Phase 1: early nutritional admission; calculation of nutritional intake; anthropometric assessment; standardization of clothing during weighing; investigation of nutritional deficiencies; structuring of a multidisciplinary team and weighing of meals planned with the patient. Phase 2: structuring of weekly interdisciplinary meetings; weighing every 4 days before breakfast and after urination; weekly anthropometry; daily visit with a nutritionist to reduce episodes of manipulation. Phase 3: progression of nutritional supply every 3 days. Phase 4: structuring of dehospitalization; transition of care with a specialized external team including an outpatient nutritionist in care while still in the hospital regime, promoting the construction of bonds; family visits to the hospital kitchen for practical training with the delivery of illustrated nutritional guidance.

Conclusion: The structuring of personalized care lines associating literature, practical action and reference centers is essential for the quality of care and patient safety. This care line includes the characteristic of replicability. Interprofessional discussions associating levels of care optimize long-term alignment of conducts, especially from a behavioral point of view.

Disclosure of Interest: None declared